| Michael J Pace Jr, | |
|
113 W Hickory St, Neosho, MO 64850-1705 | |
| (417) 451-1234 | |
| Not Available |
| Full Name | Michael J Pace Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 113 W Hickory St, Neosho, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437377538 | NPI | - | NPPES |
| 200115370A | Medicaid | OK | |
| 206321200 | Medicaid | MO | |
| 500359203 | Medicaid | MO | |
| 200059690A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4490 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 4490 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 2016017569 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Neosho Hospital | Neosho, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman Neosho Hospital | 4284624552 | 37 |
| Entity Name | Freeman Neosho Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841307428 PECOS PAC ID: 4284624552 Enrollment ID: O20040730000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Pace Jr, Po Box 3810, Joplin, MO 64803-3810 Ph: () - | Michael J Pace Jr, 113 W Hickory St, Neosho, MO 64850-1705 Ph: (417) 451-1234 |
Dr. Daud Y Khan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 113 W Hickory St, Neosho, MO 64850 Phone: 417-347-2476 | |
Dr. Mark Allen Haen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 W Hickory St, Neosho, MO 64850 Phone: 417-451-1234 | |
Dr. Donald Erickson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 West Hickory, Neosho, MO 64850 Phone: 417-455-4276 | |
Dr. Michael John Farris, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 W Hickory St, Neosho, MO 64850 Phone: 417-455-4276 | |
Zachary J Vincent, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 W Hickory St, Neosho, MO 64850 Phone: 417-451-1234 |